Lincoln University



[pic]

OFFICE OF REISDENCE LIFE

CONTRACT ACCEPTANCE FORM

2013-2014

PLEASE PRINT

Name: _______________________________________________________ Student ID # ___________________________________

Gender: ______________________________ Date of Birth: _____/_____/______

Home Address: ___________________________________________________________________________________

___________________________________________________________________________________

____________________________________________________________________________________

Home Phone #: ________________________________ Alternate Phone #: _________________________________

Building & Room Assignment: _______________________________________________________________________

Room Type: Double Single

|By completing and submitting this form, you are consenting to be legally bound to your housing contract for one (1) full academic year. By signing this contract, |

|you are consenting to the terms and conditions of the 2013-2014 Residence Hall Contract, Policies and Procedures if you are granted on-campus accommodations. |

|Completing this form does not guarantee you a space on campus. ALL STUDENTS ARE REQUIRED TO READ HOUSING CONTRACT IN THE STUDENT HANDBOOK. For all students under |

|the age of 18, parents are required to read the Residence Hall Contract and sign the Contract Acceptance Form. |

| |

|My signature below certifies that I have read the Residence Hall Contract located in the Lincoln University Student Handbook. I understand that I am responsible |

|for adhering to the guidelines in the contract. I further agree to abide by University and Residence Life policies, regulations and financial obligations related |

|to residing on the campus of The Lincoln University. |

_____________________________________________ _____________________________________________

Student Signature Parent’s Signature

_____________________________________________ _____________________________________________

Resident Hall Coordinator Signature Date

................
................

In order to avoid copyright disputes, this page is only a partial summary.

Google Online Preview   Download